• _____   slaps, hits, or punches you
• _____   pushes, shoves, pinches, or kicks you
• _____   spits at you or pulls your hair
• _____   bites, stabs, burns, bruises, cuts, or chokes you
• _____   threatens you with a gun, knife, or other weapon
• _____   throws you down (on floor, stairs, against the wall, etc.)
• _____   holds you down or restrains you against your will from leaving
• _____   ties you up
• _____   withholds food, water or appropriate clothing
• _____   deprives you of sleep
• _____   throws objects at you or punches walls
• _____   destroys property or your possessions
• _____   is intimidating, using threatening looks, gestures, or body language; threatens violence
• _____   locks you out of the house
• _____   forces you to stay in a closet, room, house, or other location
• _____   abandons you in dangerous places
• _____   tries to hit you with a car, run you off the road, or drives recklessly to frighten you
• _____   refuses to help you when you are sick, injured, or pregnant
• _____   injures or kills pets to frighten you
• _____   threatens to hurt/kill someone you love or commit suicide if you leave

copyright © January 2008 Diane Stelling